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Ch 20

Deciding Delegation Using the Nurse Practice Act

Which of the following tasks would you be willing to delegate to a nursing assistive personnel or licensed practical nurse/licensed vocational nurse? Use your state’s Nurse Practice Act or a decision tree created by the National Council of State Boards of Nursing or a State Board of Nursing as a reference for this case. 

1. Uncomplicated wet-to-dry dressing change on a patient 3 days post-hip replacement
2. Every 2 hours checks on a patient with soft wrist restraints to assess circulation, movement, and comfort
3. Cooling measures for a patient with a temperature of 104°F
4. Calculation of intravenous (IV) credits, clearing IV pumps, and completing shift intake/output totals
5. Completing phlebotomy for daily drawing of blood
6. Holding pressure on the insertion site of a femoral line that has just been removed
7. Educating a patient about components of a soft diet
8. Conducting guaiac stool tests for occult blood
9. Performing electrocardiographic testing
10. Feeding a patient with swallowing precautions (high risk of choking post-cardiovascular accident [CVA])
11. Oral suctioning
12. Tracheostomy care
13. Ostomy care

Instructions:

1. By utilizing the Florida State Board of Nursing standards decide which of the following tasks could be delegated to an UAP or a LPN/LVN

2. Your paper should be:

· One (1) page

· Typed according to 
APA Writing StyleLinks to an external site. for margins, formatting and spacing standards.

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